지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.10
- 수록면
- 190 - 199 (10page)
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초록· 키워드
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Objectives：The aim of this study was to determine how the efficacy and compliance of positive airway pressure (PAP) varies depending on the depressive symptom with obstructive sleep apnea (OSA).
Methods：We collected data about baseline Apnea-Hyponea Index (AHI), sleep and mood state and demographic information from 125 obstructive sleep apnea patients prior to the start of positive airway pressure treatment. The Apnea-Hyponea Index and daytime sleepiness were examined as indicators of efficacy of positive airway pressure and daily average usage time and the utilization rate (%) for more than 4 hours were calculated as indicators of compliance of positive airway pressure at the time of 1, 3 or 9 months after the start of positive airway pressure. Repeated-measures ANOVA and linear mixed model (LMM) with adjusting age, body mass index and baseline Insomnia severity index were used for revealing any significant differences between groups over time passed.
Results：This difference was confirmed at 9 months after starting positive airway pressure, between the two groups and the usage rate for more than 4 hours in depressive group was lower than that in non-depression group (56.2% vs. 67.5%).
Conclusions：We demonstrated that there would be a difference in the compliance of positive airway pressure among patients with obstructive sleep apnea according to depressive state. Therefore, we suggest evaluating depressive symptoms in patients with obstructive sleep apnea before starting positive airway pressure, to increase the compliance of the positive airway pressure, which is essential to maintain the efficacy of the positive airway pressure.
Methods：We collected data about baseline Apnea-Hyponea Index (AHI), sleep and mood state and demographic information from 125 obstructive sleep apnea patients prior to the start of positive airway pressure treatment. The Apnea-Hyponea Index and daytime sleepiness were examined as indicators of efficacy of positive airway pressure and daily average usage time and the utilization rate (%) for more than 4 hours were calculated as indicators of compliance of positive airway pressure at the time of 1, 3 or 9 months after the start of positive airway pressure. Repeated-measures ANOVA and linear mixed model (LMM) with adjusting age, body mass index and baseline Insomnia severity index were used for revealing any significant differences between groups over time passed.
Results：This difference was confirmed at 9 months after starting positive airway pressure, between the two groups and the usage rate for more than 4 hours in depressive group was lower than that in non-depression group (56.2% vs. 67.5%).
Conclusions：We demonstrated that there would be a difference in the compliance of positive airway pressure among patients with obstructive sleep apnea according to depressive state. Therefore, we suggest evaluating depressive symptoms in patients with obstructive sleep apnea before starting positive airway pressure, to increase the compliance of the positive airway pressure, which is essential to maintain the efficacy of the positive airway pressure.
목차
서론
대상 및 방법
결과
고찰
참고문헌
참고문헌 (30)
참고문헌 신청
Young T / 1993 / The occurrence of sleep-disordered breathing among middle-aged adults / N Engl J Med 328:1230~1235
Kim J / 2004 / Prevalence of sleep-disordered breathing in middle-aged Korean men and women / Am J Respir Crit Care Med 170:1108~1113
Shahar E / 2001 / Sleep-disordered breathing and cardiovascular disease : cross-sectional results of the Sleep Heart Health Study / Am J Respir Crit Care Med 163:19~25
Lattimore JD / 2003 / Obstructive sleep apnea and cardiovascular disease / J Am Coll Cardiol 41:1429~1437
Seneviratne U / 2004 / Excessive daytime sleepiness in obstructive sleep apnea: prevalence, severity, and predictors / Sleep Med 5:339~343
Kim J / 2004 / Prevalence of sleep-disordered breathing in middle-aged Korean men and women / Am J Respir Crit Care Med 170:1108~1113
Shahar E / 2001 / Sleep-disordered breathing and cardiovascular disease : cross-sectional results of the Sleep Heart Health Study / Am J Respir Crit Care Med 163:19~25
Lattimore JD / 2003 / Obstructive sleep apnea and cardiovascular disease / J Am Coll Cardiol 41:1429~1437
Seneviratne U / 2004 / Excessive daytime sleepiness in obstructive sleep apnea: prevalence, severity, and predictors / Sleep Med 5:339~343
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